Health Insurance (Pathology Services Table) Regulations 2010


compatibility tests by crossmatch



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compatibility tests by crossmatch means that, in addition to all the tests mentioned in paragraphs (a) and (b) of the item, donor red cells from each unit must have been tested directly against the serum of the patient by 1 or more accepted crossmatching techniques.

Group P1 — Haematology

Item

Pathology service

Fee ($)

65060

Haemoglobin, erythrocyte sedimentation rate, blood viscosity — 1 or more tests

7.90

65066

Examination of:

(a) a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or



10.45




(b) a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha naphthyl acetate esterase or chloroacetate esterase; or

(c) a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or

(d) a urinary sediment for haemosiderin;

including a service described in item 65072






65070

Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count (not being a service where haemoglobin only is requested) — 1 or more instrument generated set of results from a single sample and (if performed):

(a) a morphological assessment of a blood film; and

(b) any service in item 65060 or 65072


17.05

65072

Examination for reticulocytes including a reticulocyte count by any method — 1 or more tests

10.25

65075

Haemolysis or metabolic enzymes — assessment by 1 or more of the following tests:

(a) erythrocyte autohaemolysis test;

(b) erythrocyte osmotic fragility test;

(c) sugar water test;

(d) G 6 P D (qualitative or quantitative) test;

(e) pyruvate kinase (qualitative or quantitative) test;

(f) acid haemolysis test;


52.30




(g) quantitation of muramidase in serum or urine;

(h) Donath Landsteiner antibody test;

(i) other erythrocyte metabolic enzyme tests


90.80

65078

Tests for the diagnosis of thalassaemia consisting of haemoglobin electrophoresis or chromatography and at least 2 of:

(a) examination for HbH; or

(b) quantitation of HbA2; or


90.80




(c) quantitation of HbF;

including (if performed) any service described in item 65060 or 65070






65079

A test described in item 65078 if rendered by a receiving APP — 1 or more tests

90.80

65081

Tests for the investigation of haemoglobinopathy consisting of haemoglobin electrophoresis or chromatography and at least 1 of:

(a) heat denaturation test; or



97.25




(b) isopropanol precipitation test; or

(c) tests for the presence of haemoglobin S; or

(d) quantitation of any haemoglobin fraction (including S, C, D, E);

including (if performed) any service described in item 65060, 65070 or 65078






65082

A test described in item 65081 if rendered by a receiving APP — 1 or more tests

97.25

65084

Bone marrow trephine biopsy — histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed) any test described in item 65060, 65066 or 65070

166.95

65087

Bone marrow — examination of aspirated material (including clot sections where necessary), including (if performed) any test described in item 65060, 65066 or 65070

83.65

65090

Blood grouping (including back grouping if performed) — ABO and Rh (D antigen)

11.20

65093

Blood grouping — Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system — 1 or more systems, including item 65090 (if performed)

22.15

65096

Blood grouping (including back grouping if performed), and examination of serum for Rh and other blood group antibodies, including:

(a) identification and quantitation of any antibodies detected; and

(b) (if performed) any test described in item 65060 or 65070


41.30

65099

Compatibility tests by crossmatch — all tests performed on any 1 day for up to 6 units, including:

(a) all grouping checks of the patient and donor; and

(b) examination for antibodies and, if necessary, identification of any antibodies detected; and

(c) (if performed) any tests described in item 65060, 65070, 65090 or 65096



109.65

65102

Compatibility tests by crossmatch — all tests performed on any 1 day in excess of 6 units, including:

(a) all grouping checks of the patient and donor; and

(b) examination for antibodies and, if necessary, identification of any antibodies detected; and


165.70




(c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105




65105

Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion — all tests performed on any 1 day for up to 6 units, including:

(a) all grouping checks of the patient and donor; and

(b) examination for antibodies and, if necessary, identification of any antibodies detected; and


109.65




(c) (if performed) any tests described in item 65060, 65070, 65090 or 65096




65108

Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion — all tests performed on any 1 day in excess of 6 units, including:

(a) all grouping checks of the patient and donor; and

(b) examination for antibodies and, if necessary, identification of any antibodies detected; and

(c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105



165.70

65109

Release of fresh frozen plasma or cryoprecipitate for the use in a patient for the correction of a coagulopathy — 1 release

13.00

65110

Release of compatible fresh platelets for the use in a patient for platelet support as prophylaxis to minimize bleeding or during active bleeding — 1 release

13.00

65111

Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected)

23.35

65114

1 or more of the following tests:

(a) direct Coombs (antiglobulin) test;

(b) qualitative or quantitative test for cold agglutinins or heterophil antibodies


9.15

65117

1 or more of the following tests:

(a) spectroscopic examination of blood for chemically altered haemoglobins;



(b) detection of methaemalbumin (Schumm’s test)

20.40

65120

Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D dimer — 1 test

13.80

65123

2 tests described in item 65120

20.50

65126

3 tests described in item 65120

28.05

65129

4 or more tests described in item 65120

35.75

65137

A test for the presence of lupus anticoagulant, not being a service connected with a service to which item 65175, 65176, 65177, 65178 or 65179 applies

25.50

65142

Confirmation or clarification of an abnormal or indeterminate result of a test mentioned in item 65175, by testing a specimen collected on a different day — 1 or more tests

25.50

65144

Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs — 1 or more tests

56.95

65147

Quantitation of anti Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid — 1 test

38.15

65150

Quantitation of von Willebrand factor antigen, von Willebrand factor activity (ristocetin cofactor assay), von Willebrand factor collagen binding activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating coagulation factor inhibitors other than by Bethesda assay — 1 test

71.40

65153

2 tests described in item 65150

142.80

65156

3 or more tests described in item 65150

214.20

65157

A test described in item 65150, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP — 1 test

71.40

65158

A test described in item 65150, if rendered by a receiving APP, where 1 or more tests in the item have been rendered by the referring APP — 1 test

71.40

65159

Quantitation of circulating coagulation factor inhibitors by Bethesda assay — 1 test

71.40

65162

Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test)

10.50

65165

Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162

34.70

65166

A test described in item 65165 if rendered by a receiving APP — 1 or more tests

34.70

65171

A test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven deficiency mentioned in this item — 1 or more tests

25.50

65175

A test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance, if the request for the test specifically identifies that the patient has a history of venous thromboembolism — quantitation by 1 or more techniques — 1 test

25.50

65176

2 tests described in item 65175

49.00

65177

3 tests described in item 65175

72.45

65178

4 tests described in item 65175

95.85

65179

5 tests described in item 65175

119.30

65180

A test described in item 65175, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP — 1 test

25.50

65181

A test described in item 65175, if rendered by a receiving APP, where 1 or more tests in the item have been rendered by the referring APP — 1 test

23.45

Division 2.2 Group P2 — Chemical


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